Total number of occupied hospital bed-days divided by the total number of admissions or discharges. Length of stay (LOS) of one patient = date of discharge - date of admission. If these are the same dates, then LOS is set to one day. ALOS (Average length of stay) should preferably be provided to the accuracy of hundreds, i.e. 0.01.

Average length of stay (ALOS) is calculated by dividing the number of bed-days by the number of discharges during the year (see definition for hospital ALOS below). Only the overall average length of stay in all hospitals is requested (no breakdown by diagnostic categories)._

Available up to the war time on yearly. Source: CSO war period just for the part of FBIH. PublicHealth Institute of Federation of B&H; Department for Health Statistics and InformaticsPublic Health Institute of Republic of Srpska- Department for Social medicine, with HealthOrganization and Health Economics. Law on health evidence and statistical research in health. Annualreport of hospitals.Department for Health of Brcko District

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR). Survey on bed resources ofhealth establishments and their exploitation. Coverage: Data relates to General hospitals andSpecialized therapeutic institutes (excluding Balneologic institutes). Deviation from the definition: Hospitalized newborns are included. Break in time series: Until 1999 data covers only establishments of the Health Sector. From 2000data covers also health establishments of other central organs.

Denmark

Data from 1995 onwards include psychiatric departments.

Estonia

Bed-days are divided by the total number of discharges. Source: annual reporting, National Institutefor Health Development.

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

Data refer to ALOS in all types of hospitals (HP1.1, 1.2 and 1.3) and all sectors (public,not-for-profit and private). Included are general hospitals, mental health hospitals and preventionand rehabilitation homes. Long-term nursing care facilities are excluded. ALOS is calculated bydividing the bed-days by the \number of cases\". The \"number of cases\" is equal to the sum ofadmissions plus the discharges including deaths divided by 2. As of reporting year 2002 the numberof admissions and discharges includes day cases (patients admitted for a medical procedure orsurgery in the morning and released before the evening). Source: Federal Statistical Office

Hungary

Source until 2003: Center for Health Care Information (GYOGYINFOK). The data is the case number ofdepartment discharges. Source from 2004: National Institute for Strategic Health Research (ESKI) andthe data is the average length of stay at the hospitals.

Iceland

The same hospitals as in indicator 275210 and 992952. Day care included to some extent before 1989.Newborns (Z38) are excluded from 2008 and onwards. Source: The Directorate of Health / The Ministryof Health and Social Security.

Break in series in 2008 due to the fact that data in the National Patient Discharge Register hasbeen updated /corrected.

Until 2008 newborns (Z38) have been included. This will be corrected next year along with othercorrections.

Ireland

Source: Health Service Executive. Data prior to 2006 comes from the Department of Health andChildren. The number of bed days used divided by the number of in-patients discharged (includingdeaths, excluding day cases). The in-patient ALOS refers to all specialties, regardless of length ofstay, in HSE Network acute public hospitals, public and private psychiatric hospitals,district/community public hospitals and other public hospitals not elsewhere classified. Beds inprivate hospitals are not included. Break in Series: Public and private psychiatric hospitals areincluded since 2004. District/community public hospitals and other public hospitals not elsewhereclassified are not included from 2009.

Israel

Includes all hospitals. Source: Department of Health Information, Ministry of Health.

Italy

Source: Ministry of Health. Data are referred to hospitals under indicator 275210. Clinical datagathered in the hospital discharges database are coded with the following versions: until 2005 withICD9-CM version 1997, from 2006 to 2008 with ICD9-CM version 2002, since 2009 with the ICD9-CMversion 2007.

Breaks in series: 2002 and later includes healthy new born infants if mother was inpatient. Sourcefor 2006 and later is annual reports, Social Accountint and National Medical Registration. Includesmental hospitals. Bed-days of newborns are excluded in the calculation. Statistics Netherlands:Statistics of intramural health care; National Medical Registration.

Institute of Public Health of the Republic of Slovenia, Ljubljana 1996.

Spain

Total number of occupied hospital bed-days / total number of discharges. Source up to 1996:National Statistics Institute and Ministry of Health and Consumer Affairs. Statistics on HealthEstablishments Providing Inpatient Care. Source from 1996:Ministry of Health and Consumer Affairs(www.msc.es/)

Coverage: Data is for inpatients only and excludes day patients. Data is for NHS activity or NHScommissioned activity in the independent sector.

Estimation Method: Scotland could not provide 2010 data due to data completeness issues and so thisfigure has been estimated using 2009 data for Scotland. This figure will be revised when 2010 datafor Scotland is available.

Break in Time Series: Data from 2000 onwards is not comparable with data from prior to this. Thisis due to work conducted to improve compliance with definitions and consistency of methodologiesacross the four parts of the UK. Scotland - Changes in total length of stay are due to the improvement in the methodology forcombining SMR04 and Geriatric long stay (GLS) records with acute SMR01 records. This is due toincomplete fields on SMR04 and GLS which are required to define complete hospital spells. There isalso a slight problem with identifying in-patients on SMR02 as all maternities are counted asin-patients even though there may be a stay of 0 days. 2010 - All data is financial year data with the exception of Scotland whose data is calendar year.